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The "donut" mastopexy: indications and complications
Plastic and Reconstructive Surgery
|January 1, 1980
Summary
This study evaluates a donut mastopexy technique for breast lift surgery. While easy to perform with preserved nipple sensation, it risks scar hypertrophy, recurrent ptosis, and areolar stretching.
Area of Science:
- Plastic Surgery
- Cosmetic Surgery
- Breast Aesthetics
Background:
- A donut mastopexy technique involves deepithelializing a periareolar skin portion.
- This method aims to minimize scarring, preserve nipple sensation, and simplify surgery.
- It is often used for "Snoopy" deformity (protuberant nipple-areolar complex).
Purpose of the Study:
- To assess the outcomes of the donut mastopexy technique for breast ptosis.
- To evaluate the procedure's effectiveness regarding scar appearance, nipple sensation, and recurrence.
Main Methods:
- A donut-shaped periareolar skin area (2-3 cm radius) was deepithelized, including part of the areola.
- The wound was closed, resulting in a periareolar scar.
- Follow-up was conducted on 13 patients who underwent the procedure for breast ptosis.
Main Results:
- Surgery was brief, easy to perform, and preserved nipple sensation.
- However, recurrent ptosis was observed even in small breasts.
- Hypertrophic scarring, globular breast shape, and significant areolar stretching were common findings.
Conclusions:
- The donut mastopexy is best suited for very small breasts or those with a protuberant nipple-areolar complex.
- Careful consideration of potential complications like scar hypertrophy and areolar stretching is necessary.
- Reducing the initial areolar size is recommended to anticipate post-operative stretching.
